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HomeMy WebLinkAboutOpening of Bids - Ironwood Dr Sidewalk Edison Road to SR 23 Project No 117-033A - Indiana Earth IncCITY OF SOUTH BEND, INDIANA CONTRACTOR'S BID FOR PUBLIC WORK CHECKLIST FOR BIDDERS Project Name Ironwood Drive Sidewalk Edison Road to S.R. 23 Project No. For Bids Due 117-033A December 12, 2017 From time to time the South Bend Board of Public Works finds it necessary to reject a bid because it does not comply with statutory requirements. In preparing your bid, please use the following checklist in order to make sure that your bid is done in the proper manner. Proper bid security included. The bidder has the option of providing either a Certified Check or Bid Bond. Bid prepared on the City of South Bend Contractor's Bid for Public Work Form, completely executed. Contractor's Non -Collusion and Non -Debarment Affidavit, Certification Regarding Investments with Iran, Employment Eligibility Verification, Non -Discrimination Commitment, and Certification of use of United States Steel Products or Foundry Products. Proof of MBEMIBE Participation Goal Form [MWBE-1.01. If minimum participation goal is not j met, also provide Evidence of Good Faith Efforts Form (MWBE-2.0) and MBE/WBE Contacted Form [MWBE-2.1]. __-,/ Acknowledge Receipt of 5-- Addendum(s) included with the bid. t/ All required additional information is included with the bid. Proposal statements and other affidavits all signed by the proper party with name either printed or typed underneath signature. v This checklist submitted with the Bid_ This checklist is provided for bidder's use in assuring compliance with required documentation; however, it does not include all specifications requirements and does not relieve the bidder of the need to read and comply with the specifications. Bidder: 1 nj' u 1< IL r a a,.:r_._. Date: By Authorized Repro Signature: Print Name & Title: Version 10/17/2016 Contractor's Bid for Public Works - 1 - 1W CITY OF SOUTH BEND, INDIANA,,:: CONTRACTOR'S BID FOR PUBLIC WORK Project Name Ironwood Drive Sidewalk Edison Road to S.R. 23 Project No. 117-033A For Bids Due December 12, 2017 PART I (Must be completed for all bids. Please type or print) Date: 1,A_—/(��`? _ Bidder (Firm):`r# d� gnuu ..� Address: /c3 4" % /G,' r/e /, City/State/Zip: Cl.Sc eu/�� y Telephone Number: Agent of Bidder (if Applicable): Pursuant to notices given, the undersigned offers to furnish labor and/or material necessary to complete the public works project of: the City of South Bend, Indiana, in accordance with plans and specifications prepared by: Abonmarche Consultants, Inc. and dated f ` 7 — for the sum of (enter the Total Bid as shown on the Proposal) { C.VQ YI ✓n Jr !-"n V r' ✓ar ($ r%0 �*, rn �/% .S`0 ) 4(n#er sum of tal Base Bid plus Alternates shown on Proposal) �i e�� N mu erical) The undersigned further agrees to furnish a bond or certified check with this bid for an amount specified in the notice of the letting. If alternative bids apply, the undersigned submits a proposal for each in accordance with the notice. Any addendums attached will be specifically referenced at the applicable page. If additional units of material included in the contract are needed, the cost of units must be the same as that shown in the original contract if accepted by the City of Bend. If t bid is to be awarded on a unit basis, the itemization of the units shall be shown on a parate attach nt. By The above bid is accepted this Subject to the following conditions: BOARD OF PUBLIC WORKS Gary A. Gilot, President izabeth A. Maradik, Member James A. Mueller, Member ACCEPTANCE day of Suzanna M. Fritzberg, Member Therese J. Dorau, Member Attest: Linda M. Martin, Clerk Version 10/17/2016 Contractor's Bid for Public Works - 2 NA (For projects of $100,000 or more — IC 36-1-12-4) These statements to be submitted under oath by each bidder with and as part of his bid. Attach additional pages for each section as needed. SECTION I EXPERIENCE QUESTIONNAIRE 1. Attach information regarding projects your organization has completed for the period of one (1) year prior to the date of the current bid. 2. Attach a listing of public works projects currently in process of construction by your organization. 3. Attach information regarding any failure to complete any work awarded to you and the location thereof. 4. Attach references from private firms for which you have performed work. SECTION II PLAN AND EQUIPMENT QUESTIONNAIRE 1. Attach an explanation of your plan or layout for performing proposed work. (Examples could include a narrative of when you could begin work, complete the project, number of workers, etc. and any other information which you believe would enable the City of South Bend to consider your bid.) 2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside your own firm who have performed part of the work) that you have used on public works projects during the past five (5) years along with a brief description of the work done by each subcontractor. If you intend to sublet any portion of the work, attach the name and address of each subcontractor, equipment to be used by the subcontractor, and whether you will require a bond. However, if you are unable to currently provide a listing, please understand a listing must be provided prior to contract approval. Until the completion of the proposed project, you are under a continuing obligation to immediately notify the City of South Bend in the event that you subsequently determine that you will use a subcontractor on the proposed project. 4. Attach a listing of equipment you have available to use for the proposed project. 5. Have you entered into contracts or received offers for all materials which substantiate the prices used in preparing your proposal? If not, attach an explanation for the rationale used which would corroborate the prices listed. SECTION III CONTRACTOR'S FINANCIAL STATEMENT Attachment of bidder's financial statement is mandatory. Any bid submitted without said financial statement as required by statute shall thereby be rendered invalid. The financial statement provided hereunder to the City of South Bend awarding the contract must be specific enough in detail so that said City of South Bend can make a proper determination of the bidder's capability for completing the project if awarded. Version 10/17/2016 Contractor's Bid for Public Works - 3 When the prospective Contractor is unable to certify to an r of the statements below, it shall allach an explanation to this Affidavit. CONTRACTOR'S NON -COLLUSION AND NON -DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN, EMPLOYMENT ELIGIBILITY VERIFICATION, NON- DISCRIMINATION COMMITMENT AND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. I'lease () pe or print) STA'f E OF, , ) SS: si - Jr_ �s 4 k COUNTY ) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1. Contractor has not, nor has any other member. representative, or agent of the firm, company. corporation or partnership represented by him, entered into am combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractor further says that no person or persons, firms.. or corporation has, have or will receive directly or indirectly, any rebate, fee, gill, commission or thing of value on account ol'such sale: and 2. Contractor certifies by submission of this proposal that neither contractor nor any of its principals are presently debarred, suspended, proposed fbr debarment. declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency; and I Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. a. For purposes of this Certification, "Iran" means the government of Iran and any agency or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time -to -time. b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is engaged in investment activities in Iran if either: Contractor, its successor or its affiliate. provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran: or Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran, and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. Version 10/17/2016 Contractor's Bid for Public Works - 4 4. Contractor does not knowingly employ or contract with an unauthorized alien. nor retain any employce or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/shcAt shall enroll in and vcrifv the work eligibility status of all of Contractor's newly hired employees through the E-Verif\ Program as defined by I.C. 22-5-1.7-3, Contractor's documentation of enrollment and participation in the F-Verily Program is included and attached as part of this bid/quote: and 5. Contractor shall require his/her/its subcontractors perlorming work under this public contract to certify that (lie subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employce or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E:-Verily Program. The Contractor agrees to maintain this certification throughout the term ofthe contract with the City of South Bend. and understands that the Cite may terminate the contract liar default if the Contractor !ails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6. Persons. partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies. boards, or commissions shall not discriminate against any employee or applicant fir employment in the performance ofa City contract with respect to hire, tenure. terms, conditions, or privileges ofemployment, or any matter directly or indirectl% related to employment because of race, sex, religion, color. national origin, ancestry, age, gender expression, gender identify, sexual orientation or disability that does not affect that person's ability to perlbrm the work. In awarding contracts for the purchase of work, labor. services, supplies, equipment. materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law. the City, its agencies, boards. or commissions may consider the Contractor's good faith efforts. to obtain participation by those Contractors certified by the State of Indiana as a Minority Business ("M131'") or as a Women's Business Enterprise ('`WBE") as a factor in determining the lowest. responsible. responsive bidder. In no event shall persons or entities seeking the award ol'a City contract be required to award a subcontract to an MBE/VbBE. however, it may not unlawfully discriminate against said WBE/MBE. A finding of a discriminatory practice by the City's MBE/WBF Utilization Hoard shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7. The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part ofanv contract which it may hencelbrih enter into %with the City of South Bend, Indiana or any of its agencies. boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any' matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression. gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. 1, the undersigned bidder or agent as contractor on a public works project. understand my statutory obligations to the use ofsteel products or foundry products made in the United States 0 C. 5-16-8-1). I hereby- certify that I and all subcontractors employed by me fir this project will use steel products or foundry products made in the United States on this project if awarded_ I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibility to provide a justification to the City, subject to review and approval, why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director oi'public works, shall make a determination if the price of United States made steel or foundry is unreasonable. I understand that violations hereunder Version 10117/2016 Contractor's Bid for Public Works - 5 may result in k)dr i(ure ol'contractual payments, i hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public worksare true and correct, Gated this _jam day of __" `a , 20!? �,tit�wtB LAM? ttr I tttxrrrr Contrav or/Bidder irm) — ' .'•�a ��S'�st 18, 2p ��,'•, a SEAL Signature of Contractor✓Bidder ,r Its Ag t 1 y SSA �''"�� Printed Name and Title Subscribed and sworn to before me this (;20' day of 96 - , 20 17 XMy Commission expires <� � N tary l"ubltc County of Residence 1 p" "s Version 10/17/2016 Contractor's Bid for Public Works - 6 g Addendum No-2 UT BiD1PROPOSAL CITY OF r;U G SOUTH BEND �iir-1865�. �f Project Name Ironwood Drive Sidewalk Edison Road to S.R. 23�� Project No, 117-133A For Bids Due December 12, 201T BASE BID Item No. Description P Quantity Unit Unit Total 1 Mobilizatiort Demobilization 1 Price Amount 2 Construction Engineering 1 L5 ICi / O, c7u fD 3 Maintenance of Traffic LS 4 1 Flashing Arrow Sign 45 LS S Construction Si n T °An Days n 6 , Ype Curb, Remove 16 550 LFT f `p 90 �%( 7 Concrete Sidevsalk/Approach, Remove 250 8 Tree, Remove, 48" SYt7 9 Si n, Sheet, Relocate 1 EA Icy rva.u0 /p 5 EA 4c�' 10 Common Excavation 300 CY5 zQJ 4�Sc�tz I 11 Compacted AggMate, No. 53 150 TON 77-Wo 1.0 12 HMA for roaches 150 SYS Cx9.riv � l 13 Sidewalk, .Concrete, .4° 850 SYS 14 Curb Ram , Concrete 35 SYS )10 15 Concrete Curb and Gutter, 6", T e B 300 LFT Ygw / 16 Concrete roach, 8" 450 SYS �� 17 Hi h-Earl Concrete Additive 350 SYS S: f 79q 18 19 Sodding 550 SYS Fire H drank Assembl , Relocate 1 EA ' 20 Casting, Adlust to Grade 4 EA � 7s 21 Line, Epoxy, Solid, White, 6" 115 .a� i S`rk,, LFT 22 Transverse Marking, Thermoplastic, White, 24" 25 LFT Bidder (Firm): Address: City/State/Zip:- ,-�� �@ W TOTAL BASE BID elephone Number: (�5�� ) ,c 2c,_ By (Signature) Y (Printed Name of Person Signing) Version 10/17/2016 Contractor's Bid for Public Works - 7 a w 7 O w m2 LLJ O UJZ oa mwO r(L �n wv -� w�- w �a 0m0.p �m O F-LUw U:s> In O z a } 0 Z 9 Liu m m 0 iij C 0 tp 0 ,� 0 �a o � C: d E Uk N 9 •UI .L� N C x � �p u 3 o CL C0 C mE V y n 0 C �a C3 0 0 r 3 C to i z, m .to CL � C r 0 �3 w0) as Qy d N 'UB O � C � w 0 N 0 E Y 0 m0 m 0E 0 G 0.0 0 0 U •V •� mo C r CL 6 E m Z U N .Q O w m W m � CL 0 r 0 c �aliFQ w � ro w4D 0 CL 1- E0 D 0m b 0� % 1\1 V a � o a ay as o� aD C N / wv a �� U J O V N C 1 c a U Z v G lS � � a z ` ) �- i uj c CD a G a W f r- d Y) .i] N E -0 0 ao N 0 7 _U .L) d w C1 CO Jo a C 0 0 CITY OF SOUTH BEND4S�ii+r:1"gv MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY DEVELOPMENT PROGRAM " c FORM MWBE-2.0 EVIDENCE OF GOOD FAITH EFFORTS: This completed form should be included as part of the Bids documents related to City of South Bend Public Works Projects requiring Good Faith Efforts to obtain MBEIWBE participation. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business as defined by the Indiana Department of Administration ("IDOA"). Project Number: 117-033A bate: Project Name: Ironwood Drive Sidewalk Edison Road to S.R. 23 Bidder: i► G4,1�c�-�y��� Contact Person: Telephone: pj), Address: /0 13S' City: CAS cvl State: 7 n zip: Email: �a %I, ct �'h_� S 6 v,f,_�i.,_.,.. To determine whether a bidder has demonstrated good faith efforts to reach the MBEIWBE utilization goals set forth in the City of South Bend Public Works Project Specifications, the City and its agencies, boards, or commissions, REQUIRE ALL of the following Good Faith Efforts as listed in the table below`: EVIDENCE OF GOOD FAITH EFFORTS MBE/WBE LIST(S): The bidder reviewed the City of South Bend's Minority and Women Business Enterprise Diversity Development Program, which uses the IDOA approved list of Minority and Women Owned Business as found on their website (http://www.in.gov/idoa). ACTION (ADVERTISEICONTACT): In order for your bid to be deemed responsive, the City of South Bend requires that all perspective bidders complete no less than 2 of the following: 1. Attend all pre -bid meetings scheduled by the City to inform MBE/WBEs of contracting and subcontracting opportunities. 2. Advertise in general circulation and/or trade association publications concerning subcontracting �� opportunities, and allow MBEIWBEs reasonable time to respond. Perform any and all necessary steps to provide written notice in a manner reasonably calculated to inform MBEM/BEs of subcontracting opportunities and allowed sufficient time for them to participate effectively" 40 Utilize pre-existing services of available community organizations, small and/or disadvantaged business assistance offices and other organizations that provided assistance in the recruitment and placement of MBE/VIBE firms. "Bidder must circle or otherwise notate which of the two (2) required actions were performed. GOOD FAITH NEGOTIATIONS: The bidder negotiated in good faith with interested MBENVBEs, including providing such MBE/WBE's with adequate information about the plans, specifications and other requirements of the subcontract and did not reject MBENVBEs as unqualified without sound business reasons based on a thorough investigation of their capabilities. SMALL CONTRACT(S): The bidder selected specific portions of the work to be performed by MBENVBEs in order to increase the likelihood of meeting the MBE/WBE goals (including breaking down contracts into smaller units to facilitate MBE/WBE participation) CONTRACT RECORDS: The bidder has maintained the following records for each MBE/WBE that has J / bid on the subcontracting opportunity: 1. Name, address, and telephone number: 2, A description of information provided by the bidder or subcontractor; and 3. A statement of whether an agreement was reached, and if not, why not, including any reasons for concluding that the MBEIWBE was unqualified to perform the job. Proper demonstration or Good i-aith t ttort requires your initials next to all of the above boxes. Any omissions shall be considered grounds for rejection of the bid by the Board of Public Works. The City of South Bend reserves the right to request additional information. Version 10/17/2016 Contractor's Bid for Public Works - 9 -•�lU fll': CITY OF SOUTH BEND MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY t; DEVELOPMENT PROGRAM FORM MWBE-2.1 MBE/WBE CONTACTED rs65 This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects requiring contacted MBEIWBE to obtain Good Faith Efforts. It is the bidder's sole responsibility to verify whether any listed minority or woman business meets the qualifications of a Minority or Women's owned business. PAGE.- _ OF Project Number: 117-033A MBENVBE Participation Goal Project Name: /Ironwood Drive Sidewalk Edison Road to S.R. 23 Bidder: , By: r &L (Signature) (Title) (Date) MBE/WBE Firm , - Owner or Contact at MBENVBE Firm Telephone:? Fax: Email: TYPEOFWORK SOLICITED FOR THIS PROJECT: RESULTS OF CONTACT WITH THE MBE/WBE FIRM: MBENVBE Firm ken yr .e_ C �o�—r r Owner or Contact at MBENVBE Firm Telephone:1.5-7y �Fax: Email: TYPE OF WORK SOLICITED FOR THIS PROJECT: C RESULTS OF CONTACT WITH THE MBENVBE FIRM: Version 10/17/2016 Contractor's Bid for Public Works - 10 1316 COUNTY -CITY BUILDING 227 W.JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAx 574/235-9171 TDD 574/ 235-5567 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS Date: December 7, 2017 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: l Project Name: Ironwood Road Sidewalk, Edison Road t,,.. S.R. 23 Project Number: 117-033A ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: L - .-11-12 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included. with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: .1 n �.�� Ell Authorized Signature: Date: 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD Souui BEND, INDIANA 46601-1830 PHONE 5741235-9251 FAX 574/ 235-9171 TDD 574/235-5567 CITY OF SOUTH BEND PETE BUTT'IGIEG, MAYOR .. BOARD OF PUBLIC WORKS Date: December 8, 2017 To: All Planholders From Linda M. Martin, Clerk, Board of Public Works Subject Addendum Number: 2 Project Name: Ironwood Road Sidewalk, Edison Road to S.R. 23 Project Number: 117-033A ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUM Date Received: /7 This addendum is being forwarded to you for the above referenced project. Please sign below and acknowledge receipt of this Addendum by faxing this sheet to the Board of Public Works at (574) 235-9171 within 48 hours of receipt. A copy MUST also be included with your bid package upon submittal. THIS ADDENDUM MAY AFFECT YOUR BID. Notes: The attached documents are hereby added to the Specifications and Contract Documents and become a part of herein. Company: r Authorized Signature: Date: ;% ld.—rI Version 4/2/2015 OTM L Document A31 -2010 CONTRACTOR: SURETY; (A?atne, legal status and address) (Narne, legal status andprincilml place Indiana Earth, Inc, qfbusiness) 10343 McKinley Highway North American Specialty Insurance CompanYhIs document has important legal Osceola, IN 46561 650 Elm Street Manchester, NH 03101 consequences. Consultation with OWNER: an attorney is encouraged with (Alarne, legal status and address) respect to its completion or City of South Bend modification. 227 West Jefferson Boulevard Any singular reference to South Bend, IN 46601 Contractor, Surety, Owner or BOND AMOUNT: ***FIVE PERCENT OF AMOUNT BID*** other party shall be considered plural where applicable. PROJECT: (Name, location or address, and Project number, if any) Ironwood Drive Sidewalk - Project No. 117-03SA The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, a(firlinistrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a Surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof; or (2) pays to the Owner the - difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60), days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been Furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said stattitory or legal requirement shall be deemed deleted herefirom and provisions, co arming to such statutory or other legal requirement shall be deemed incorporated herein. WI1Vn so furnished,Xc intent is that thiXtond shall be construed as a statutory bond apd notes a comraofilaw bofd/, Signe44nd sealed / 12th day of North (Tide) Thomas 0. Chantbers, Attorney -in -pact (Seat) AIA Document A310- — 20110, Copyright 0 1963, 1970 and 2010 by The American Institute of AreNtects. All rights reserved. WARN! Init, Document Is protected by U.S. copyright Low and International Trestles, Unauthorized reproduction or distribution of this AIA" Docurvieni, or any portion of It, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the ;4w. Purchasers are permitted to reproduce ten (10) copies of thfs document when completed. To report copyright violations of AIA Contract Docorryants, e-rna4 The American Institute of Archilects' legal counsel, copyright@ala,org, Ds'i oC NAS SURETY GROUP NORTf I AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF' ATTORNEY KNOW ALL MEN BYTHESE PRESENTS, 'THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint: THOMAS 0. CHAMBERS, TODD SCHAAP and KIMBERLY S. RASCH JOINTLY OR SEVERALLY Its true and lawful Attorneys) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9111 of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given flower of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seat of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the sea] of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto, by facsimile, and any such Power of Attorney or certificate hearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached," ,ow ill a I I I "6 VZ By Steven P. Anderson, Senior Vice President orwashington intemoiforal Insurance Company EAL NO & Senior Vice President of North American Specialty Insurance Company CnE By Milne$ A. U0,35577-c—eir-m—siaeut 0I NVAStunglon International insu—mRF-Campany oswaura & Senior Vice President ofNorlh American Specialty Insurance Company. IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seats to be hereunto affixed, and these presents to be signed by their authorized officers this 14th day of April _ 2016 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook SS: On this 14th day of April , 20 16 , before me, a Notary Public personally appeared StevenP. Anderson Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A, Ito , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M KENNY ' STATE NOTARYPUBLIC, CTAT STATE OF IWNOIS MY COMMISSION EXPIRES 1 OFFICIAL 2104/20117 M. Kentiy, Nc)tary Public 1, Jeffrey Goldberg ,the duly elected A-,,sistant Secr tary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Wasnington International Insurance Company, which is still in full force and effect, IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 12th day of December 2017 Jolfroy Goldbctg, Vice Pcsidont & Assislmt Secretau), of Washingnln International Insorano Cowpany & North Annericrut Specialty Insurance Company STATE OF WISCONSIN COUNTY OF Racine ON THIS 1!2th day of December 201 7 before me, a notary public, within and for said County and State, personally appeared Thomas O. Chambers to me personally known, who being duty sworn, upon oath did say that he is the Attorney -in -Fact of and for the North American Specialty Insurance Company a corporation of New Hampshire , created, organized and existing under and by virtue of the laws of the State of (New Hampshire ; that the corporate seal affixed to the foregoing within instrument is the seal of the said Company; that the seal was affixed and the said instrument was executed by authority of its Board of Directors; and the said Thomas 0. Chambers did acknowledge that he/she executed the said instrument as the free act and deed of said Company. Jac e Sheldon Notary Public, Racine County, Wisconsin My Commission Expires 4/1312019 0, C/ Or INDIANA EARTH, INC. 10343 MCKINLEY HWY OSCEOLA,IN 46561 Section 1 Public Projects completed in the last year: 1) Demolition —Houses for the City of South Bend 2) Excavation & Utility —City of Portage, IN 3) Demolition — City of South Bend 4) Excavation & Utility — Indiana Dept. of Corrections Public Works in Process: 1) Excavation & Utility CR 38- City of Goshen,IN 2) Demolition —Jonesville School, Michigan 3) Utility —Nappanee WWTP, Nappanee, IN 4) Excavation & Utility — St Marys College, South Bend, IN 5) Demolition —Akron Schools, Akron, IN Completed all work awarded to our firm. References of Private Firms 1) Rieth Riley Construction 574-288-8321 2) Gibson Lewis LLC 574-259-8581 3) Larson Danielson 219-362-2127 4) Holladay Group 574-234-2073 5) Robert Henry Const. 574-232-2091 Section 2 Plan of proposed work 1) Preconstruction meeting and pull permits 2) Mobilize 3) Place signs and barricades 4) Remove tree 5) Remove concrete and curb 6) Establish subgrade for concrete and asphalt 7) Relocate hydrants 8) Place concrete, curb and asphalt 9) Place topsoil and sodding 10) Place road striping $145,930 Spring 2016 $56,000 Spring 2016 $551,369 Fall 2016 $220,000 Fall 2016 $2,491,277 Fall 2017 $329,585 Spring 2017 $519,020 Summer 2017 $900,000 Fall 2017 $180,000 Late Summer 2017 Subcontractors Utilized on Past Projects 1) Hydroseed — Osceola, IN, Hydro seeding 2) HydroTek — Nappanee, IN, Hydro seeding 3) Weaver Boos —South Bend, IN, Compaction Testing 4) Bob's Landscaping — Granger, IN, Sodding 5) JPR —South Bend, IN, Surveying 6) Rieth Riley —Goshen, IN, Paving Subcontractors to Utilize on this Project — Possible subs listed, will determine prior to contract approval 1) Reith Riley 2) Abonmarche 3) Pemberton Davis 4) Hydroseed List of our Equipment Owned: 1) 13 Excavators 2) 4 Dozers 3) 3 Dump Trucks 4) 2 Semi Trucks with dump trailers 5) 2 Rollers 6) 5 Loaders 7) 2 Skidsteers We have received pricing for services and materials by potential subcontractors.